Monthly Archives: February 2014

Neonatal Updates : pain and stress

Posted on 28 February 2014 by Keith Barrington

Cabral DM, Antonini SRR, Custódio RJ, Martinelli Jr CE, da Silva CAB. Measurement of Salivary Cortisol as a Marker of Stress in Newborns in a Neonatal Intensive Care Unit. Hormone Research in Paediatrics. 2013;79(6):373-8. As I noted previously, we have … Continue reading →

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More about mother’s voices

Posted on 26 February 2014 by Keith Barrington

When I first read this article I thought that the authors had rigged up a system to play music actually in the babies mouth, but I think I was wrong about that. Chorna OD, Slaughter JC, Wang L, Stark AR, … Continue reading →

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Ventilator Graphics: Are Pressure Volume Loops interesting?

Posted on 24 February 2014 by Keith Barrington

If you buy a new ventilator today for your preterm infants, you cannot avoid having ‘sophisticated graphics’. These ‘sophisticated graphics’ are supposed to help you ventilate the babies appropriately. I have always been very skeptical about ‘sophisticated graphics’ as they … Continue reading →

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Pain, still bad for you

Posted on 24 February 2014 by Keith Barrington

Roofthooft DWE, Simons SHP, Anand KJS, Tibboel D, van Dijk M: Eight years later, are we still hurting newborn infants. Neonatology 2014, 105(3):218-226. The answer is yes, but much less! In this study from a single hospital in Rotterdam with … Continue reading →

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Stop the Antibiotics!

Posted on 21 February 2014 by Keith Barrington

We know that prolonged antibiotic use in preterm babies increase their chance of later developing NEC. The assumption being that the disturbance of the intestinal flora leads to the increase in susceptibility. Here is some more direct evidence to support … Continue reading →

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Does being ventilated hurt? It depends who you ask

Posted on 21 February 2014 by Keith Barrington

Ruth Guinsburg is a neonatologist in Sao Paulo who has been super-productive, especially in the area of pain control in the newborn. Her latest is an interesting comparison of how caregivers and parents rate pain in infants on ventilators. Elias … Continue reading →

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Yet more probiotic stuff

Posted on 14 February 2014 by Keith Barrington

Here is the other study of saccharomyces that I mentioned previously on this blog (Demirel G, Erdeve O, Celik IH, Dilmen U: Saccharomyces boulardii for prevention of necrotizing enterocolitis in preterm infants: A randomized, controlled study. Acta Paediatrica 2013) recently … Continue reading →

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Your mother is the source of your microbiome

Posted on 12 February 2014 by Keith Barrington

An interesting review article from last year (free access) which discusses information from many different species, several non-mammalian, that show that, not too surprisingly, our mothers are the source of our microbiome. They speculate that the bacterial contamination of breast … Continue reading →

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Neonatal Updates

Posted on 12 February 2014 by Keith Barrington

Hyland R, Komlósi K, Alleman B, Tolnai M, Wood L, Bell E, Ertl T: Infantile hemangiomas and retinopathy of prematurity: Clues to the regulation of vasculogenesis. Eur J Pediatr 2013, 172(6):803-809. This observational study in 3 different NICUs shows that … Continue reading →

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Talk to me!

Posted on 12 February 2014 by Keith Barrington

A new review article and a new research publication address the same issues, the first is a thoughtful review article: (Rand K, Lahav A. Impact of the NICU environment on language deprivation in preterm infants. Acta Paediatrica. 2014;103(3):243-8.), the authors … Continue reading →

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